Skuteczność proprioceptywnego torowania nerwowo-mięśniowego w zwiększaniu zakresu ruchu stawu ramiennego. Doniesienie wstępne

Abstract

[b]Background.[/b] Subacromial impingement syndrome is a condition of the shoulder girdle which limits daily activities. It is worth seeking fast and effective treatment options. The aim of this study was to assess the impact of single-session proprioceptive neuromuscular facilitation (PNF) therapy on the shoulder range of motion and pain level in patients with subacromial impingement syndrome.[b]Materials and methods. [/b]The experimental group consisted of 11 patients with subacromial impingement syndrome who had undergone therapy based on the PNF concept. A control group consisted of 12 patients with subacromial impingement syndrome who had undergone laser therapy, magnetic field therapy and local cryotherapy. Both before and after the therapeutic interventions, the painless passive and active ranges of abduction, flexion, and external and internal rotation of the shoulder joint were measured on the same day with the use of a goniometer and measuring tape. Patients also evaluated their pain levels. They were asked to fill in DASH questionnaires in order to evaluate their baseline functional status. Nonparametric tests were used for the statistical analysis.[b]Results:[/b] After single-session PNF therapy, the mean shoulder range of motion increased by 15° (active) and 14° (passive). Active abduction improved by 13° and passive abduction by 18°. The ranges of active and passive external rotation increased by 8° and 7°, respectively. Active and passive internal rotation increased by 4°. 73% of patients who underwent the therapy stated that their pain had decreased. The magnetic field therapy, laser therapy and cryotherapy alone did not contribute to increased ranges of motion.[b]Conclusions.[/b] 1. Subacromial impingement syndrome significantly limits function in daily life. 2. Single-session therapy with the use of the techniques and patterns of proprioceptive neuromuscular facilitation can improve both the active and passive range of shoulder movement. 3. Physiotherapy based on the PNF concept is positively perceived by patients. 4. Single sessions of magnetic field therapy, laser therapy and local cryotherapy do not improve the range of motion or diminish pain just after an intervention. 5. In the present study, the measuring tools were rather subjective. In the future, it is advisable to support the research claim in studies employing more objective research tools.